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Year : 2018  |  Volume : 61  |  Issue : 3  |  Page : 470
Catechism (Quiz)


Department of Surgical Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India

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Date of Web Publication13-Jul-2018
 

How to cite this article:
Rekhi B. Catechism (Quiz). Indian J Pathol Microbiol 2018;61:470

How to cite this URL:
Rekhi B. Catechism (Quiz). Indian J Pathol Microbiol [serial online] 2018 [cited 2019 Dec 7];61:470. Available from: http://www.ijpmonline.org/text.asp?2018/61/3/470/236604





   Brief Clinical History Top


A 50-year-old female presented with pain in her lower back, including her left hip of 6 years' duration. She had undergone a hip replacement. A year ago, she had a fall and was treated for hairline fractures of right femur and fourth and fifth metatarsals of her left foot. She had an incidental phyllodes tumor in her breast and a soft-tissue lesion in the web space between the third and fourth toes of her right foot, measuring 0.8 cm × 1.4 cm × 1.0 cm. Gallium-68 DOTATATE scan showed a focal high-grade somatostatin receptor expression in the soft-tissue lesion.

Biochemical findings

Her serum calcium level was 8.59 mg/dl (normal range = 8.8–10.2); serum phosphorus level was 0.82 mg/dl (normal range = 2–5.5). Serum alkaline phosphatase level was 194.52 U/L (35–105) and serum parathormone level was 154.40 pg/ml (normal range = 115–68.3).


   Histopathologic Images of the Biopsy (A and B) Top


Questions

(1) What is the diagnosis? (2) Which histopathologic feature is marked in image A? (3) Which other investigation would be crucial for further confirming this diagnosis?



Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Note

Readers are requested to send their answers on the following email chiefeditor.ijpm@gmail.com mentioning the subject in email as “ Answer to Quiz 1.” Do include your name, affiliation and address below the answer. The answers have to be submitted within 15 days of the online publication date of IJPM. The correct answer will be published in the subsequent issue of IJPM alongwith the list of correct responders.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

Top
Correspondence Address:
Bharat Rekhi
Room Number 818, Department of Surgical Pathology, 8th Floor, Annex Building, Tata Memorial Hospital, Dr E.B. Road, Parel, Mumbai, Maharashtra - 400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPM.IJPM_318_18

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